Chelyn Crapo Fullmer, - Medicare Certified Nurse Midwife (cnm) in Salt Lake City, UT

Chelyn Crapo Fullmer, is a medicare enrolled "Advanced Practice Midwife" in Salt Lake City, Utah. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 5373 W Lake Park Blvd, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 902-7960.

Chelyn Crapo Fullmer is licensed to practice in Utah (license number 8005666-4402) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740656453.

Contact Information

Chelyn Crapo Fullmer,
5373 W Lake Park Blvd,
Salt Lake City, UT 84120-8208
(801) 902-7960
Not Available

Map and Direction




Provider's Profile

Full NameChelyn Crapo Fullmer
GenderFemale
SpecialityCertified Nurse Midwife (cnm)
Experience9 Years
Location5373 W Lake Park Blvd, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Chelyn Crapo Fullmer graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1740656453
  • Provider Enumeration Date: 08/17/2015
  • Last Update Date: 03/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1759681851
  • Enrollment ID: I20151120002683

Medical Identifiers

Medical identifiers for Chelyn Crapo Fullmer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740656453NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 8005666-4402 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203228

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chelyn Crapo Fullmer allows following entities to bill medicare on her behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303
Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chelyn Crapo Fullmer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chelyn Crapo Fullmer,
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: () -
Chelyn Crapo Fullmer,
5373 W Lake Park Blvd,
Salt Lake City, UT 84120-8208

Ph: (801) 902-7960

Reviews and Comments


Advanced Practice Midwife Nurses in Salt Lake City, UT

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Phone: 801-213-2995    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.